CAJ | 학술논문

目的探讨逆向抽吸减压法在颈内动脉大型及巨大型动脉瘤夹闭术中的优点及其风险.方法回顾性分析逆向抽吸减压法在26例颈内动脉大型及巨大型动脉瘤夹闭术中的应用及疗效.结果 26例动脉瘤术中均成功夹闭,术后3D-CTA或DSA复查均提示动脉瘤完全夹闭,载瘤动脉通畅,术后均未出现植物生存状态或死亡.结论逆向抽吸减压法在颈内动脉大型及巨大型动脉瘤夹闭术中能有效地缩小动脉瘤的体积,有利于动脉瘤的剥离和夹闭方案.
목적 탐토역향추흡감압법재경내동맥대형급거대형동맥류협폐술중적우점급기풍험.방법 회고성분석역향추흡감압법재26례경내동맥대형급거대형동맥류협폐술중적응용급료효.결과 26례동맥류술중균성공협폐,술후3D-CTA혹DSA복사균제시동맥류완전협폐,재류동맥통창,술후균미출현식물생존상태혹사망.결론 역향추흡감압법재경내동맥대형급거대형동맥류협폐술중능유효지축소동맥류적체적,유리우동맥류적박리화협폐방안.
Objective To present our experience with retrograde suction decompression in clipping of large and giant internal carotid artery aneurysms and analyze its advantages and pitfalls.Methods A retrospective analysis of 26 large and giant intracranial aneurysms treated by suction decompression assisted clipping between November 2005 and February 2010 was present.The surgical techniques and the outcome of patients were reviewed.Results All aneurysms were successfully clipped, and postoperative 3D - CTA or DSA revealed no major branch occlusion or residual aneurysm.There was no surgical mortality in both giant and large aneurysm groups.Conclusions Retrograde suction decompression is a successful adjunct to clipping of large and giant internal carotid artery aneurysms.